MPN Medical Center of Dundee

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

OS5799 Issued in FL

Legal business name

MPN MEDICAL CENTER OF DUNDEE

Practice address

1023 Dundee Road
Winter Haven, FL 33884

Phone

(863) 439-8000

Fax

(863) 439-8020

NPI assigned

Oct 19, 2012

Organization subpart

Yes

Parent organization

MEDPROVIDERS NETWORK LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Namrata Amin

Title

Owner/President

Phone

(863) 439-8000

Specialties & licenses 1

Addresses

Part of

Medproviders Network LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medproviders Network, LLC

  • Health Educator
  • Wesley Chapel, FL
  • NPI 1306154455
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1952654543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 DUNDEE ROAD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33884",
            "telephone_number": "863-439-8000",
            "fax_number": "863-439-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 DUNDEE ROAD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33884",
            "telephone_number": "863-439-8000",
            "fax_number": "863-439-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPN MEDICAL CENTER OF DUNDEE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDPROVIDERS NETWORK LLC",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "NAMRATA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "863-439-8000"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS5799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motus-Therapy, LLC
• Fouad Sam Moursi, MD
• Housam Moursi, DO
• Sammy Moussly, M.D.
• Moxman Home Care LLC (Assisting Hands Home Care - Polk County)
• MRI Associates of Winter Haven LLC (Winter Haven MRI)
• Yamile Mulet Velazquez, APRN
• Jean Paul Muller, MD
• Elvin Muniz-Ramirez, M.D
• Glenda Laisnil Muniz, RD

• Adult Medicine Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.